Provider Demographics
NPI:1629652755
Name:JARRIN JARA, MARIA DANIELA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA DANIELA
Middle Name:
Last Name:JARRIN JARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 PELHAM PARKWAY SOUTH
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-918-5642
Mailing Address - Fax:718-918-3174
Practice Address - Street 1:1400 PELHAM PARKWAY SOUTH
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-918-5642
Practice Address - Fax:718-918-3174
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2024-04-17
Deactivation Date:2022-04-28
Deactivation Code:
Reactivation Date:2024-02-27
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program